Provider Demographics
NPI:1275620429
Name:CHUN K. RYU, M.D.
Entity Type:Organization
Organization Name:CHUN K. RYU, M.D.
Other - Org Name:CHUN K. RYU, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DOCTOR, PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:RYU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-543-4447
Mailing Address - Street 1:1633 E 4TH ST
Mailing Address - Street 2:138
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5163
Mailing Address - Country:US
Mailing Address - Phone:714-543-4447
Mailing Address - Fax:714-543-4488
Practice Address - Street 1:1633 E 4TH ST
Practice Address - Street 2:138
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5163
Practice Address - Country:US
Practice Address - Phone:714-543-4447
Practice Address - Fax:714-543-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA257172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty